1. The Bipartisan Brain
Feeling
Limbic System
Thinking
Frontal Lobes

2. Stop, Think, Solve Problems
Behaviors of the Systems
Behaviors
Freeze, Flight, Fight
Behaviors
Stop, Think, Solve Problems
Behaviors of the systems

3. Turned off by Limbic System
Triggering Events
Limbic System
Freeze, Flight, Fight
Frontal Lobes
Turned off by Limbic System
----- Meeting Notes (6/18/15 15:18) -----
A trigger is anything that could potentially lead to a stress reaction. Internal/external triggers
Interpersonal relationships are triggering to JB but he doesn't even know it. Based in attachment. Attachment is scary because relatiobnships are scary.

4. The Social Brain Engagement Disengagement Approach… AVOID!
----- Meeting Notes (6/18/15 16:09) -----
Trusting human beings is a frontal lobe heavy exercise. your limbic system only detects danger and isn't concerned with socializing with others when it's activated. So when the limbic system is on, you avoid people. or yell at them. or other things that will avoid connecting. The brain can rewire itself, but only after many behavioral reenactments. If John gets through a rough time by utilixing relationships, his body/brain doesn't expereince what it was anticipating.

5. Turned off by Limbic System
Confabulation
Frontal Lobes
Turned off by Limbic System
Limbic System
Freeze, Flight, Fight
----- Meeting Notes (6/18/15 16:09) -----
Confabulation is the story of John's existence. If the brain is an anticipation machine, it's trying to figure out how to get from figurative point A to figurative point B. If the limbic system is activated, and the language system is compromised as a result, the brain will use whatever information is available to it to make sense of what's going on. Even if it doesn't make much sense. This is why a rough call from mom leads to yelling at someone else over the phone. Interpersonal stuff with mom is a trigger that causes a limbic reaction. already compromised frontal lobes try to make sense of what's going on in the body. This is when you use Stage 1 interventions (not logic and reason because the state is inherently illogical). If you try to move too fast with the processing, you'll become the target.
Broca’s Region
Language Production
and Comprehension

6. The Brain is…
The brain is an anticipation machine. It mostly anticipates what it has experienced.
It gathers information from the perceived (and “remembered”) social and external world as well as conscious and unconscious memory and process.
It then decides on, and prepares for, what it believes is coming next.

7. Symptoms of the people we serve
Violence
Aggression
Manipulation
Emotional outbursts
Lack of motivation
BAD BEHAVIOR

8. A more thoughtful look at “bad behavior”
Developmental Trauma
Van Der Kolk (2005) “Developmental Trauma Disorder: Towards a Rational Diagnosis for Chronically Traumatized Children

9. A TYPICAL STRESS RESPONSE
Stressful
Event
ALARM
Necessary survival response
Deactivation
Dissociation
Activation
F/F/F
Return to Baseline

10. Necessary survival response
Traumatic reorganization
Stressful
Event
What happens when a person experiences inescapable, repeated, life-threatening, overwhelming stress
ALARM
Necessary survival response
Captured and
stored in
embodied CNS
Changes in Brain
organization and
function
Lasting changes in social,
emotional, cognitive,
perceptual organization

11. Traumatic Re-enactment
Event
Similar facets
to dangerous
event (sight,
sound, smell etc.)
Time
“over-reactive”
Embodied CNS &
neuroendocrine
systems
ALARM
Unnecessary
Survival response
“BAD
BEHAVIOR”

12. Treatment implications
A traumatized brain sees the world and everything in it as a potential threat
Luckily, neuroplasticity allows for “rewiring”
Basis for treatment is reestablishing fundamental attachments
The SSRT state/stage model allows for conceptualizing the path of treatment

13. The State Or Stage Model
Stage 1
“Wrap The World Around Them”
Stage 2
“Lay The Groundwork For Understanding Themselves & The World”
Stage 3
“Wrap Them Around The World”
Goals
Stop blowing up
Learn skills
Understanding
Targets
The body
The skills
The mind
Predominant
State
Anger
Pain
Hope
Treatments
Parasympathetic tools
The Map
Traditional psychotherapy
Outcomes
Stops blowing up
Can map events
Understand what makes them tick
Common
Misperceptions
We Are Reinforcing Bad Behavior
We Are Being Manipulated
We have Extinguished the Behavior

14. M A N A G E anage yourself and the environment while
modeling reasonable behavior A
gree, acknowledge, and listen N
avigate thoughts and perceptions A
id in generating solutions and problem solving G
enerate reasonable consequences and
take personal responsibility E
nd by repairing relationships